Provider First Line Business Practice Location Address:
504 W PUEBLO ST STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-6211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-563-0024
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2019